Ryan T Alderman, LMFT
Individual provider Active NPI Marriage & Family Therapist · Chicago, IL
NPI 1295013126 · NPPES record last updated May 13, 2024
Key facts
- NPI
- 1295013126
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 166000973 (IL)
- Practice address
- 10725 S Western Ave
Chicago, IL 60643-3217 - Phone
- (872) 248-9559
- NPI assigned
- Jul 26, 2011
- Sex
- Male
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Marriage and Family Therapist
- Education
- Northwestern University Feinberg Medical School, 2011
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
10725 S Western Ave
Chicago, IL 60643-3217
Phone (872) 248-9559
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260202001220 | IL | Practitioner - Marriage and Family Therapist | 3870071756 | Practice locations: Chicago, IL |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 166000973 | IL | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 166000973 | IL | Yes |
Addresses
Primary practice location
10725 S Western Ave
Chicago, IL 60643-3217
Mailing address
10725 S Western Ave
Chicago, IL 60643-3217
Phone (872) 248-9559
Other providers in Chicago, IL
- Carrie A Alden
- Tord Alden
- Madeleine Alder
- Nickecia Alder
- Erin Alderman
- Sarah Marie Alderman
- Edward Joseph Alderson
- Sydney Alderson
- Suhair A. Aldewairey
- Kaitlyn Aldin
All providers in Chicago, IL · Marriage & Family Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.